Collinsville Primary Eyecare | |
1103 W Center St, Collinsville, OK 74021-3108 | |
(918) 371-3339 | |
Not Available |
Full Name | Collinsville Primary Eyecare |
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Type | Facility |
Speciality | Optometrist |
Location | 1103 W Center St, Collinsville, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699304469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | James Thirion |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093157281 PECOS PAC ID: 9133363856 Enrollment ID: I20130919000595 |
Provider Name | Cooper B Wyrick |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790338259 PECOS PAC ID: 5496181398 Enrollment ID: I20200213001265 |
Provider Name | William Martin Grovenburg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336820547 PECOS PAC ID: 2062954076 Enrollment ID: I20240605003820 |
Mailing Address | Practice Location Address |
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Collinsville Primary Eyecare Po Box 123, Collinsville, OK 74021-0123 Ph: () - | Collinsville Primary Eyecare 1103 W Center St, Collinsville, OK 74021-3108 Ph: (918) 371-3339 |
William Martin Grovenburg, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 | |
Dr. Leonard Duane Hart, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 | |
Primary Eye Care Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 W Center St, Collinsville, OK 74021 Phone: 918-371-3339 Fax: 918-371-9600 |